HomeMy WebLinkAbout06070168 Application
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.o~~~ if. CityofCarmeI/Clay Township V" Permlt#: v:> I bC
.i~.. RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
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'''.. .' For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
NAM~
STREET ADDRESS
3?55 ~.
BUILDER'S EMAIl ADDRESS
Cl
FAX
3J '} - 51010- 33 J
Z~lo
NAME ~
STREET ADDRESS
0/...-
a..b<Jv.-u
ZIP
LOH 7-7
AODRESOF CONsrFJli/l~ n h
3405
550.00
'dl
TRACTOR: .# 0 (PO] 0f 1&>7
~ j/au.e- E. SIYl i111
Plumber's Indiana State License #:
g I 0 -:q -::r -:q.- I
NAME OF LfTlLfTY EXCA TION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~GLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
Which plumbing codes will be applied to the construction:
\:ct:1ntemational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family ~struction Code)
PROJECT INFORMATION: " ,
E I R I Manufactured FOUNDATI E: (Check all that apply for the new
ar y e ease \./ '- ----N constructiol\.~ "
Permit: _Y ~ Trusses: -y~ ~CRA,.~tE E~
Lot Split: _Y.Q.N Sump Pump: _Y _N ~S~ ')} -j;,> .fj f;;fJ
Does any part of the property lie within a special Flood designation -sf;. ~
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
POST & BEAM
BASEMENT
WALKOUT:
Y~N
For Single Family and Two Family dwellings, additions, remodels, and/or acces Stt;pC~~h~ t is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be co~~ ~~~~ ccupancy issued) within 18 months of the
issuance date. Class I structure permits arc subject to the General Administrative BkIe~t~,~te ndiana (See 675 lAC 12) regarding expiration
time frames for beginning and comp1ai~#s~c~.
I, the undersigned, agree that any construction, reconstruction, enlargement, reliC -~, ~l~tsln structure, or any change in the use of land or
structures requested by this application will comply with, and conform to, all appl" ~~f~e e of Indiana, and the ~Zoning Ordinance of Cannel
Indiana - 1993" (Z~ 289) and amendments, adopted under authority of l.c. 36~7 c , ~~ Wf1 y of the State of Indiana, and all Acts amendatory
~~:~to I ~rt~~~ C~~~:iatt;;;r~~lc::;C~;;jc~~;~;~~~~sO~~;~i~;:~:~c~~~~~tf~c::~e ~~i!~r;~::i~;:~~:~:~,t~~~~;:t:~O& n;~
Date I I
USE ONLY: ***********************************************~***~*******************
Filing Fees: . '.L.;;L7.. )(l
NSPECTIONS REQUIRED: I' .;;J__". /'(.'
Base Inspections: .:L c.<. _
Lower Footing Under Slab ~3 ,
Cert. of Occu pa ncy: 5 - 5C.
/:J.. Cl
. .
# Charged Re-
Reviews
P,R,I.F,:
Additional Fees
Reviewed/Approved: Dept. of Community Services (Date)
S:PermitsjFormS/ILP RESIDENTIAL